09-102203City of Federal Way
Communitf"Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GILBO
Project Address: 31423 13TH AVE SW
0 - Electrical
Permit #: 09 -102203 -00 -EL
FILE �\% Inspection Request Line: (253) 835-3050
Project Description: Replace 100amp panel with new
Parcel Number: 416810 0440
Owner
Applicant
Contractor
GREGORY GILBO
SELLARS ELECTRIC INC
SELLARS ELECTRIC INC
SARA GILBO
29210 3RD AVE S
SELLAEI96304 (9/24/2010)
31423 13TH AVE SW
ROY WA 98580
29210 3RD AVE S
FEDERAL. WAY WA 98023-4507
ROY WA 98580
t Additiory ! P r1 tit,oiation ,
s ,... ,a.€r,,,x,., . ....
Is Use Educational or Institutional?.......................No
FINALED &9/19/01
THIS CARD IS TO VWAIN ON-SITE
C„W OF 40w tommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -102203 -00 -EL
Owner: GREGORY GILBO
Address: 31423 13TH AVE SW
FEDERAL WAY, WA 98023-4507
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom).. Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑
❑ UFER Ground (4295)
Approved
By
By Date
❑
❑ Pool Bonding (4195)
Approved
By
By Date
❑
Rough Electrical (4225)
❑ Feeders/Sub-panels (4045)
By
Approved
By Date
❑ Final - Electrical (4055)
By DApproved
Date 6.10 -
❑
Ditch cover (4030)
Approved
By
Date
❑
Temporary Power (4275)
Approved
By
Date
❑
Rough Electrical (4225)
Approved
By
Date
❑ Slab/Concrete Floor (4255)
Approved to place concrete
By Date
❑ Service (4235)
�\ Approved
By (OW Date ,
❑ Ceiling Cover (4020)
Approved
By / Date
For inspector reference only _
❑ Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
0"op A
Federal way R E C
PRMIT
COdfA1qWfY DBVBLOPAIBM' SSRVICBS
33325 SIR AVENUE SOUTH - PO BOX 9718
FEDERAL WAY, WA 98063-9718
2S3-8352607• PAK 2534352609
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JUN APPLICATION
0 _ /02z d -�
SF MF CO ME PL DE EN FP
DERAL WA
t C"" bwomphft application will not be accepted. Please print legibly (in W4 or
SUITE/UNIT #
ASSESSOR'S TAWPARCEL # — — — — — — — — — — LOT SIZE (so
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(A Rich p jbrkftd19lead 1
PROJECTINFORMATION
TYPE OF PERMIT ❑ BUILDIIPG ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION g ELECTRICAL ❑ ENGII(EERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION�,. (Provide detailed description of work inchcded on this permit only)
„s - —`
PEOPLE INFORMATION
CONTRACTOR
APPLICANT
PROJECT
CONTACT
EXISTING USE
NAME :
PRDAAW PHONE
OFFICE PHONE
MAILINO ADDRESS
MAILINGADDRESS
CRT, STATE, ZIP
EMAIL ADDRESS
C L. �( I
I .1� _
Lzzd-L Lc' dy
( ) -
COMPANY NAME _
KC vfizs E �aL.
APPLICANT NAME C,
- LI i�f ---
OFFICE PHONE
MAILINO ADDRESS
CRY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
( ) -
CONTRACTOR'S R3019raAa7ON NUBMM
ICDA IL►Ts
E-MAIL ADDRESS
742
C07 NA!tE
APPLICANT NAME
OFFICE PHONE —
MAILING ADDRESS
CITY. STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
NAMEPRIMARY PHONE EMAIL ADDRESS
NAME
Por RCW 19.27.09&
Lander G4 forrnaU— is requb ed #/ProJset valw --ads ,"000
MAO.ING ADDRESS
FWWAUE. ZIP
'(
EXISTING ASSESSED/APPRAISED VALUE
lac-Zoj
WORK
0rxw1CL ERED BUILDING? ❑ YES❑ N FIEM ON SYSTEM PRO /REQUI88i
WATER SERVICE PROVIDER C3LABEHAVEN ❑ MG ❑ TACOMA E3PRIVATE (WELL)
SEWER SERVICE PROVIDER c3LAKEHAVEN GHLIIIE 13 PRIVATE fSZJMCI
❑YES ❑I
r
AREA DESCRIPTION
EffiSTING
.FT.80.FT.
PROPOSED
TOTAL
SO.FT.
BASEMENT
GAS WATER HEATERS MISC (Descnbe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REMO. SYSTEMS
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
s m we,
mmown
soeec
toracsamoer
7DM"'OPO'®s`
TOM L7
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not mclude existing fiadum to remain_
Value of Mechanical Work $ (A - OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICAT1019
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Descnbe)
BOILERS
FIREPLACE INSERTS
HOODS
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REMO. SYSTEMS
BATHTUBS (.,T b/sbo..rCombel IAVS Raft Mam#
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS troy*
WASHING MACHINES
MISC (Describe)
I ovdf9 tinder penalty of pojury that 1 an the property owner or authorised agent of the property owner. t cwt(& that to the host of my
krnowiedgy the information submitted in support of this permit application is true and correct. I cartO that I will comply with all applicable
City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit I understand that the issuance of this permit
does not remove the owner's responst6eHty for compliance with tocat, state, or federal taws regulating construction or environmental laws.
!/farther agree to hold harmless the City of lhedisral Way as to any claim (Including costs, expanse:, and attornege fees incurred in the
investigation and defense of such claim), which maybe made by any person, including the undersigned, and Jlled against the city, but only
where such claim arises out of the reliance of the city, including its offlears and anployee; upon the accuracy of the information supplied to
the city as apart of this application.
�SIGNATURZ-,,'&�-
Property Owner and/or Authorized
DATE L-zC
Agent
o NEW a ADDITION
o ALTERATION a REPAIR o TENANT Emaq vZN3 NT
BU LDIBG SHELL ONLY?
o YES a NO
BASIC PLAN? o YES a NO
ZONING DESIGNATION
NEWADDRESS REQUIRED?
o YES o NO
CHANGE OF USE? a YES a NO
IIP/SEPA/SU? DYES a NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED? o YES a NO
Bulletin #100 — January 1, 2009 Page 2 of 4 k\Handouts\Perrrut Application
•
*NOTE: an automation fee of
will be charged for all permits.
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
Wh-st 1300 m- $121.00, Each addn Soo ft2. $39.00)
❑ 0 to 100 amp $131.50 $ 80.00
❑ Detached outbuilding or garage (w/service)......................... $51.00
❑ 101- 200 amp 163.00 103.00
13 201- 400 amp 305.50 120.50
❑ Detached outbuilding or garage (inspected separately)........ $80.00
❑ 401- 600 amp 356.00 142.50
13Swimming Pool (w/ae:vice)................................................. $W.00
❑ sig
❑ 601- 800 amp 460.50 195.00
Pool (inspected separately) ............................... $120.50
❑ Hot tub/spa/sauna (w/service) $51.00
❑ - 1000 amp 562.50 235.50
801
..........................................
❑ Hot tub/spa/sauna (inspected separately).......................... $80.00
13801
1000 amp 613.00 327.00
❑ Septic Pumping system (w/service)..................................... $51.00
❑ Over 600 volts surcharge $103.00
❑ Septic Pumping system (inspected 8epa tely)..................••• $80.00
❑ Mast or meter repair $111.00
NEW MULTI -FAMILY (three units or more)
ALTERED COMMERCIAL/nIDUSTRML
Service Feeder
(Does not include circuits.)
❑ up to 200 amp $131.50 $ 39.00
Service or Feeders
❑ 0 to 200 amp $131.50
❑ 201 - 400 amp 163.00 80.00
❑ 201 - 600 amp 305.50
❑ 401 - 600 amp 223.00 111.00
❑ 601 - 1000 amp 460.50
❑ 601 - 800 amp 285.50 152.50
❑ over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
❑ # of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY
(1-5 circuits - $103.00; Addn circuits. $8.00/ea)
Service or Feeder
COMMERCIAL/INDUSTRIAL PLAN REVIEW
0 to 200 amp $100.50
$103.00 plus 350/6 of Permit Fee
❑ 201 - 600 amp 163.00
❑ service - 1.000 amps or greater
❑ over 600 amp 245.50
❑ Medical/Educational/Institutional Facility
❑ Additional plan review for
❑ # of circuits to be added/altered
modified submittals $115.00/per hour
(1-4 circuits -$80.00; Add'n circuits $8.00/ea)
❑ Mast or meter repair $60.50
TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES
❑ 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00
❑ 61-100 amp 80.00 39.00
❑ Service and feeder $131.50
❑ 101- 200 amp 103.50 51.00
❑ 201- 400 amp 120.00 60.50
MOBILE HOME/RV PARR
❑ 401- 600 amp 163.50 80.00
❑ # of service or feeders
❑ Over 600 amp 183.00 92.00
First service/feeder-$80.00; each addn -$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
(First -$60.50; addn-$18.50/ea)
❑ # of Signs
❑ Low voltage
(First sign -$60.50; addh sign $28.50/ea)
Square Feet to be served by system(s)
❑ Yard Pole/meter loops/pedestal................... $80.00
❑ Fire Alarm system
❑ Portable Generator(transfer equipment) ...... $100.50
❑ Security Alarm System
❑ Ditch cover/inspection only $120.50
❑ voice Cabling
.......................
❑ Data Cabling
❑i*'
i
25W fn -$71.00;
For fees not listed, contact the Permit Center at
Fach addn 2500 fn- $18.50)
253-835-2607
Bulletin #100 - January 1, 2009 Page 3 of 4 MandoutsTermit Application